Measurement properties of the short version of the Van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury

Post, Marcel W.M.; Lieshout, G. van; Seelen, Henk; Snoek, Govert J.; IJzerman, Maarten J.; Pons, Christelle

doi:10.1038/sj.sc.3101937

Cited by 49 publications

(41 citation statements)

References 15 publications

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“…15 Activity level. The Van Lieshout test for Tetraplegia-short form 16,17 was used to asses actual performance of arm-hand skills. Its 10 items each range between 0 and 5.…”

Section: Measurementsmentioning

confidence: 99%

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

et al. 2015

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Study design: Prospective multiple case study. Objectives: To test (1) the feasibility of haptic robot technology (Haptic Master (HM)) use to improve arm-hand function (AHF) and arm-hand skill performance (AHSP) in persons with a cervical spinal cord injury (C-SCI), (2) inventory participants' motivation and expectation to work with the robot technology used and (3) to descriptively report the results in individual cases. Setting: Rehabilitation Centre. Methods: Five C-SCI patients were trained for 6 weeks, 3 days per week, 60 min per day. Therapists filled out the Usefulness, Satisfaction and Ease-of-use questionnaire (USE). The Intrinsic Motivational Inventory (IMI) and credibility and expectancy questionnaire (CEQ) were filled out by participants. Performance at activity level was gauged using the Van Lieshout test for AHF in Tetraplegia and the Spinal Cord Independence Measure. Function level was gauged using muscle strength testing and the International Classification for Surgery of the Hand in Tetraplegia. Results: As to the feasibility of the application of haptic robot technology, the mean USE score was 65%. Mean IMI and CEQ results were 67% and 60%, respectively. Participants were motivated to train with the HM. All participants rated credibility higher than expectations regarding the improvement. In the current patients, little progress was demonstrated at the International Classification of Functioning, Disability and Health function and the activity level. Conclusion: It is feasible to train C-SCI persons with the HM. Therapists report that working with the HM is easy to learn and easy to perform. Usability of the HM may be improved. Further research is needed to assess in which group of C-SCI and at which stage of rehabilitation HM training may be most beneficial.

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“…15 Activity level. The Van Lieshout test for Tetraplegia-short form 16,17 was used to asses actual performance of arm-hand skills. Its 10 items each range between 0 and 5.…”

Section: Measurementsmentioning

confidence: 99%

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

et al. 2015

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“…The recent study 46 54 The capabilities of the upper extremity has been reported in the past 10 years to be valid as a questionnaire, 54 and together with the Van Lieshout test 23 and components of another hand test (graded redefined assessment of strength, sensibility, and prehension), 24 illustrate efforts to link improvement in strength of the arms with improvement in self-care by a standardized measure of capability/basic activity/capacity (formerly functional limitation). These recent efforts recognize that an improvement in performance (self-care) alone may be solely due to training with adaptive devices without a significant increase in motor score (body structure).…”

Section: Evolution Of Outcome Measures In Randomized Multicenter Clinmentioning

confidence: 99%

Outcome measures: evolution in clinical trials of neurological/functional recovery in spinal cord injury

Ditunno

2010

Spinal Cord

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The need to determine the beneficial effect of the treatment of spinal cord injury (SCI) requires clearly defined standardized measures of the severity of injury and how well the function is restored. Improved neurological recovery should be linked to increased capacity to perform tasks such as walking, reaching and grasping, which results in meaningful gains in mobility and self-care. Measurements of recovery, capacity, mobility and self-care are the outcomes used to determine the benefits from the treatment and have evolved over the last century with contributions by the mentors and protégés of Sir Ludwig Guttmann, whom we honor today. Randomized clinical trials in the past 20 years have taught us many lessons as to which outcome measures have the greatest validity and reliability. The International Standards for Neurological Classification of SCI have become the clinical gold standard for measurement of severity, but would benefit from pathophysiological surrogates to better understand the mechanisms of recovery. Measurements of walking capacity have emerged as valid/reliable/ responsive and upper extremity measures are in development, which help distinguish neurological improvement from rehabilitation adaptation. Performance of self-care and mobility has been linked to capacity and severity outcomes. In addition, new partnerships between clinical trial entities, professional societies, industry and federal agencies should facilitate identification of priorities and uniformity of measurement standards. Our ultimate goal is to improve the quality of life of those individuals with SCI whom we serve, but we must focus our investigative efforts carefully, systematically and rigorously as clinical scientists.

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“…This instrument was developed to objectively quantify the quality of AHSP in persons with a CSCI. 12,13 According to the ICF model, it relates to the domain of (basic) activities. 13 The VLT-SV includes 10 of the original 19 tasks.…”

Section: Measurementsmentioning

confidence: 99%

“…The Van Lieshout test (VLT) used in this study, is designed to objectively quantify the quality of movement of the upper extremity at the basic activities level in persons with CSCI. 12, 13 Spooren et al 8 measured the AHSP using the VLT. They demonstrated that AHSP improves significantly during in-patient rehabilitation and then remains stable up to one year after discharge.…”

Section: Introductionmentioning

confidence: 99%

Arm hand skilled performance in persons with a cervical spinal cord injury—long-term follow-up

et al. 2012

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Study design: Retrospective cohort study. Objective: To assess development of arm hand skilled performance (AHSP) during and after in-patient rehabilitation in persons with cervical spinal cord injury (CSCI) and to determine factors that influence the outcome. Setting: Eight rehabilitation centres in the Netherlands with specialised spinal cord injury departments. Methods: AHSP was assessed using the Van Lieshout test (VLT) in persons admitted with recent CSCI. Assessment was carried out at the beginning (t1), after 3 months (t2), at the end (t3) of in-patient rehabilitation, and 1 and 5 years thereafter (t4, t5). Multilevel regression analysis was performed to determine development of AHSP and associations between AHSP and age, gender, motor completeness, lesion level (high or low CSCI), motor scores of upper extremity (MSUE), and pain in the tested arm. Results: Fifty-five participants were included with mean age 38 years (range 18-64). There were 73% male, 80% had high CSCI (C3-C6) and 69% had motor complete lesion. Scores of VLT improved significantly during in-patient rehabilitation (mean: t1 ¼ 25; t3 ¼ 33) (P ¼ 0.005), scores remained unchanged at 1 year (t4 ¼ 32) and 5 years (t5 ¼ 32) (P ¼ 0.903) after in-patient rehabilitation. Motor completeness, MSUE and pain were significantly related to the VLT score (Po0.001, Po0.001, P ¼ 0.015, respectively). Age, gender and lesion level had no significant relationship. Conclusion: AHSP improved during in-patient rehabilitation. It was then stable during the next 5 years after discharge. Persons with an incomplete lesion, high MSUE and no pain in the tested arm perform best on the VLT.

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Measurement properties of the short version of the Van Lieshout test for arm/hand function of persons with tetraplegia after spinal cord injury

Cited by 49 publications

References 15 publications

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

Robot-assisted task-oriented upper extremity skill training in cervical spinal cord injury: a feasibility study

Outcome measures: evolution in clinical trials of neurological/functional recovery in spinal cord injury

Arm hand skilled performance in persons with a cervical spinal cord injury—long-term follow-up

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